Manor of Grande Village

In the surveyor’s words

From the most serious findings on record at Manor of Grande Village, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 2, 2024

  Based on observations, interview, and facility policy review the facility failed to ensure the kitchen was clean and sanitary. This had the potential to affect all 73 residents that received meals from the facility. No residents were identified as receiving nothing by mouth. The facility census was 73. Findings include: Observation during a tour of the kitchen on 06/30/24 from 8:10 A.M. to 8:30 A.M. with [NAME] #566 revealed Dietary Aide (DA) #601 had a full beard with no beard net on while in the kitchen. DA #601 stated on 06/30/24 at 8:10 A.M. that he should have been wearing a beard net. Observation of the walk-in refrigerator revealed salad mix not labeled or dated, meatballs in a pan with a ripped foil cover, and a half of an undated cucumber. […]

• No harm, potential for more than minimal, widespreadF727Apr 22, 2022

  Based on record review and staff interview the facility failed to maintain the services of a registered nurse for at least eight consecutive hours a day, seven days a week. This had the potential to affect all 76 residents currently residing in the facility. Findings include: Review of the staffing schedules from 04/14/22 through 04/17/22 revealed no registered nurses (RNs) were working in the facility on 04/17/22. Review of the POS [MEDICAL RECORD OR PHYSICIAN ORDER] . Interview on 04/21/22 at 6:46 P.M. with Human Resources #511 verified there were no RNs working in the facility on 04/17/22.

• No harm, potential for more than minimal, widespreadF761Apr 22, 2022

  Based on observation, interview and review of facility policy the facility failed to date and store opened medications properly and failed to dispose of expired medications. This had the potential to affect all 76 residents residing in the facility. Findings include: Observation on 04/20/22 at 9:32 A.M. on the secured nursing unit revealed one five milliliter (ml) bottle of Sanofi brand influenza vaccine opened and undated in the refrigerator and one [MEDICATION(S)] (TB) purified protein derivative 0.1 ml bottle opened and undated. Interview with Licensed Practical Nurse (LPN) #659 at the time of the observation verified the influenza and TB vaccine bottles did not have an opened date. […]

• No harm, potential for more than minimal, widespreadF880Apr 22, 2022

  Based on observation, interview, record review, review of facility policy, and review of the Centers for Disease Control and Prevention (CDC) guidance, the facility failed to ensure appropriate use of personal protective equipment (PPE) for one resident (Resident #278) on Transmission Based Precautions (TBP), failed to [MEDICATION(S)] reusable non-critical care equipment was disinfected after each resident use, and failed to ensure linens for residents on TBP were processed appropriately in the laundry area. This had the potential to affect all residents residing in the facility. The facility census was 76. Findings include: 1. Review of Resident #278's medical record revealed an admitted [DATE] and diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF805Jul 2, 2024

  Based on observation, interview, taste test and pureed/mechanical soft guidelines review, the facility failed to serve pureed foods at a smooth consistency for safe swallowing. This had the potential to affect four residents (#1, #22, #46, and #58) who were prescribed pureed diets of 73 residents who consumed meals from the facility's kitchen. The facility census was 73. Findings include: Observation and interview on 07/01/24 at 10:45 A.M. revealed [NAME] #566 pureed hamburgers, and they were the proper consistency. [NAME] #566 then pureed the French fries and portioned a sample into a monkey dish for the taste test. The French fries were contained lumps and were not a smooth consistency. Regional Dietary Manager #600 verified on 07/01/24 at 11:00 A.M. […]